ArticleWorld journal of surgery2025
Cost Saving Analysis of an Enhanced Recovery After Surgery (ERAS) Program for Elective Colorectal Surgery in an ERAS Qualified and Training Center.
Article in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- A modified Delphi consensus on fusion (laparoscopic and robotic) approaches to colorectal surgery in Asia-Pacific.Journal of gastroenterology · 2026Article
- Enhanced Recovery after Surgery (ERAS) Reduces Hospital Stay and Postoperative Nausea in ACDF: A Meta-Analysis of 2330 Patients.Global spine journal · 2026Review
- Conventional versus enhanced recovery laparoscopic cholecystectomy in Rwanda: A comparative analysis of costs and clinical outcomes.Surgery open science · 2026Article
- Enhanced recovery after surgery protocols in adrenal surgery: a systematic review and meta-analysis.Gland surgery · 2026Article
- Impact of the Eras Protocols on Costs and Benefits in Two Italian Second-Level Healthcare Centers According to the National Waiting List Management Plan (PNGLA).Journal of clinical medicine · 2026Article
- Different titration protocols in pain management after radical gastrectomy for gastric cancer patients.World journal of gastrointestinal oncology · 2025Article
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Authors and funding
12 authors.
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Abstract
backgroundTo ascertain the costs of implementing an enhanced recovery after surgery (ERAS) protocol in elective colorectal surgery throughout all perioperative phases in an Italian ERAS Qualified and Training Center.
methodsConsecutive patients who had undergone elective colorectal surgery in 2022, the first year of our facility being an ERAS Qualified Center (n 204; ERAS group), were compared to a control group (n 203; pre-ERAS group) that had undergone elective colorectal surgery in 2017, the last year before the internal ERAS implementation. The primary endpoint was the cost-effectiveness of the ERAS protocol as determined by evaluating perioperative costs. Secondary endpoints were postoperative clinical outcomes.
resultsIn the ERAS group, fewer postoperative complications (p < 0.001), a shorter length of stay (LOS) (p < 0.001), and a decreased 30-day readmission rate (p 0.047) were reported. The mean cost saving for elective colorectal surgery in the ERAS setting was about €3676.73 per patient. The preoperative costs in the ERAS group were 45% higher than in the control group. The intraoperative phase showed a small but significant decrease in costs (-€324.04, SD 1683.81, and p 0.002). The postoperative phase also had a significant decrease in costs (-€3439.30, SD 6903.07, and p < 0.001), which was especially apparent in patients with severe complications.
conclusionsDespite significantly increased costs in the preoperative phase, the ERAS protocol, when highly complied with, may lead to significantly decreased patient pathway costs due to a reduction of postoperative complications, a shorter LOS, and the more targeted use of medication and blood transfusions.
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